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Vermont rates for HCPCS 86687

Antibody Htlv-I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.64 / $14.64 / $14.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.05 / $142.75 / $193.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.22 / $15.22 / $204.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $10.33 / $13.05
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.22 / $15.22 / $204.20
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $10.33 / $13.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $11.72 / $29.25